Latest Comments by AlabamaLegalRN

AlabamaLegalRN 1,085 Views

Joined: Oct 1, '07; Posts: 16 (38% Liked) ; Likes: 14

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  • 1
    OBGYN Legal RN likes this.

    Do what you will, with what you have. Those of you with less than 10 yrs experience, talk to the hand...Oz I respect your opinions, but must remind you that they are just that. Its amazing how many of you truly believe that medicine is a cospiracy, yet you entered the field, I guess to change the world. Fewer and fewer states in the US are recognizing midwifery, why? Because it is a proven fact that risks are higher AT HOME, no matter how "low risk" you start out. But I bet this group preaching natural birth is the same no deodorant wearing, tree hugging, imagery using "nurses" that never should have gotten a license to begin with, since medical professionals are all evil anyway. I will continue to cover my arse, and help patients seek restitution when you don't. Protocols (with ALL "o"s) are developed BASED ON SCIENTIFIC EVIDENCE...and if you don't know this, then you have never been an administrator. You can't just "write" a protocol because you want to. You sound like a bunch of ADNs that were LPNs and wanted higher pay, and never learned the theory. FYI Cochrane has been discredited by AWHONN time and time again, try using more than one source all of the time. But there are always people out there everywhere who find someone that believes what they believe and then quote them all day. Yes labor * there is NO "u" in the word * is a natural process, and people have been doing it forever unaided, but remember if everyone believed that, then you wouldn't have a job...so why did you choose nursing if intervention is actually interfering? You can stand and hold someones hand for free, and without a degree. It has always amazed me how nurses always think they know better than the doctors. Go back to the herb farm, rub some oil on peoples feet, hand out magnetic bracelets, and do the profession a favor and let your license lapse.

  • 0

    I Can't Say The Word Prostatectomy!!!!!!!

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    Patient called to say "I lost my plug in the bathtub water when I got out", I could not resist, I asked her if she meant she lost her bathtub water plug, she paused and said "no the water didn't come out, just my plug, its floatin", I honestly peed a little. Also, had a patient just last week tell me that her "sonameter" said her baby was "breeched" last week. Oh Lord, you just know its going to be a long shift!!!:trout:

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    The hospitals around here dont "staff" per say the nursery. Well baby anyway. Most do mother / baby couplet care. I love what I do, but it is very stressful. People think OB is all pink and blue and happy, and we just sit around and rock babies, but when things go wrong, its the absolute WORST thing that can happen to a family. Our hospital does hire straight out of school, but it is because we are desperate, and we are paying for it. Right now we have new grads being trained on day shift by nurses with less than 3 yrs experience...wanna come have a baby here??? It is frightening, and sad at best. I thing every graduating nurse should have to do a minimum 1 year FULL TIME as a med/surg RN, ONE WHOLE YEAR...either med / surg, ortho, step down, something. Too many skills to pass up learning. Its called getting the fundamentals down, then deciding what you are good at.

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    I wouldn't push the situation, because even if you can get your way in, chances are they will make your life H while you are there. I'm not from NC now, but I graduated and started here and look for old buddies on the boards. Keep your chin up, you know what you are worth!

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    Hi there, yes, it is difficult to decipher. I did most of my CEU credits online and they counted as attended because they were considered "webcast". The best bet is to find a couple of websites that offer courses that are approved, then ask the ABON if they approve them as attended courses. Then you won't waste your money. Good luck.

  • 1
    fronkey bean likes this.

    Quote from melsman1904
    I'm not a nurse (yet), but FWIW, I think unions would be a bad move for Alabama. Yes, the pay is not exactly on par with other states, but the cost of living is less here too. With health care costs being such a hot button issue at the moment, unionizing in order to raise pay and reduce workload will only serve to eliminate nursing jobs as the greater financial pressure forces downsizing of hospital services offered. The line between keeping pay high and pricing yourself right out of the market is very thin and a union would only make that line thinner.
    I'm sorry but I must disagree. When you do become a nurse and work for what we work for, and lay your license on the line every time you accept a patient assignment, you will see. Hospitals are a business, FYI they are NEVER not for profit, regardless of what they say, maybe the foundation themselves, but there are plenty of suits pulling in huge paychecks to make decisions. Nurse to patient ratios in this state are horrible. I see it in ALL AREAS in the hospital, and we accept it because we have to. They don't care if 2 or 3 of you walk out unhappy, because there are 2 or 3 more waiting to come in. Not to knock new grads, but they are taking jobs and leaving jobs left and right because they get a taste of what they will be thrown into. The turnover rate for nurses in alabama is LESS THAN 2 YEARS!! There is an ongoing research program taking place, and I have a feeling that it is to lay the groundwork for labor unions to start to come south and "talk with us" as a whole. I've heard from administrators at 3 of the larger hospitals that the "research" is digging up some big problems. Funny thing is, when the reality sets in and unions start talking up plans, you will see a HUGE increase in hospital pay and retention bonuses, etc. because they will absolutely PANIC. Hide and watch

  • 0

    Quote from busylizzy
    I'm interested in the Bham hospitals (namely UAB & StV), if you work there & you had loans, do they pay them? How does this work?

    Thanks!
    Hi there, welcome to Alabama nursing. Here's a bit of advice as well, whichever hospital you choose, they are ALL offering referral bonuses. So when you decide, find a nurse from these boards who works there, give his or her name as a referral, and split the $$$!!!

    Good luck!

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    May I ask what you consider "low risk birth"?? Do you have socialized medicine where you are? Yes, in the U.S. unfortunately we live in a very litigious society, hence the malpractice insurance rates for OB doctors here. Scaremongerring as you said does not have to come second hand, live here, nurse here, be deposed ONCE and have to answer the "why didn't you's" and try not to change. Believe me, I have read more chronicles than could even be quoted. I have a degree in research as well. Either side can find whatever they wish to support whatever they believe, 10 times over. It comes down to the gut, and making the calls that matter.

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    It's not that it is a U.S. thing, but varies from hospital to hospital depending on policy. I did travel nursing for 4 yrs and no place is the same. But as time goes on, and the more you get "burned", the more regulation one requires, in my case. I personally have been caring for 2 patients myself, that have had a cord prolapse while ambulating. Now I am working at a hospital that does not allow ambulation without telemetry monitor, when ruptured. That just makes me feel safer, ME yes, it IS about me when I'm the one responsible for what happens to her. And anyone who's been doing this for any length of time knows that things move very fast in OB at times, high risk or not, and I personally would hate to be inserting an IV in a patient while flipping from side to side, knee chest, shaving abdomen, inserting a foley, pre op meds, and getting ready for the c/section when tones DO go down and stay....s*#t happens, A LOT.

    Oh wait, I didn't have the FHM on, so never mind, lets just get no FHTs in 15 minutes when I decide to spot check. Or better yet, in 15 minutes when I spot check, tones in the 40's and then give mom a CP baby to feed through a tube and deplete her life savings on for the next 10 yrs or so.

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    [quote=tntrn;2285305]

    Quote from CEG
    If the patient refuses a procedure after having risks and benefits explained to them, why is this such an emotional problem? QUOTE]

    Because if something does go wrong, you're still going to get sued. Signing a disclosure that the risks were explained to you is really a worthless piece of paper. Anybody can sue anybody for anything at anytime under any circumstances.

    I'm with the response that suggested that person should go home to have their baby.

    (Once had a home birth patient with her lay midwife who showed at our facility after 6 hours of pushing and no baby and announced to me that she didn't want an IV. Okay. And exactly what did you come here for then, if you're going to refuse to try other methods of getting you a good baby.)

    I personally think that epidurals are way overused and over suggested as well. I love a great natural childbirth. But I'm also realisitic enough and old enough to have seen perfectly good labors go right to a bad place. In those cases, I am so thankful for a hep lock at the very least. How invasive is that really. In a perfect world no labors would ever go bad, no babies would ever be lost, but the world isn't perfect. I'm also too old to enjoy the massive adrenaline rush of a crash section anymore. There was a time---
    I'm with you!!

  • 1
    RN BSN 2009 likes this.

    Quote from CEG
    If the patient refuses a procedure after having risks and benefits explained to them, why is this such an emotional problem? In reality, continuous EFM and amniotomy have been proven to actually worsen outcomes. The need for an IV is precautionary at best if no meds are given (which is admittedly a rare case, but do most women actually need pitocin to deliver a baby?). Not everyone has the option of birthing at home or in a birth center due to insurance problems. This is such a frustrating example of the lack of evidence-based practice. Practice needs to be changed in hospitals to reflect current recommendations. Patients shouldn't be forced to submit to unscientific protocols to satisfy legal concerns.

    Okay, one problem here, EFM and amniotomy have never been proven to worsen outcomes. The c/s rate has gone up, but outcomes worse, lets be reasonable. No way. Infant mortality rate in labor is next to ZERO percent, now studies do show that continuous EFM has not significantly decreased CP rates, but I don't want anyone to ever think it has worsened anything. Having a c/s is not the worst thing in the world, but having your baby die during a shoulder dystocia or asphyxia event can be. Next, I have to ask why insurance would prevent delivering at home? Seems to me that there'd be no charge. As an OB nurse, yes, it is frustrating to take care of these patients who "refuse" care, but show up, I agree...but refusal of care and refusal of active management of labor are two different things. Amniotomy and pit are not necessary, but ask yourself the question, why do you come to a hospital? For safety and the "what ifs", so if you also refuse ANY monitoring and at least a hep lock, then yes, stay home, because these are the ones who are going to sue in the end when things go wrong. IMO Can you tell that this is one of my pet peeves??

  • 6

    Okay, here's the problem, what happens when you eat lunch. I know, who eats lunch or pees, but all of these rules are broken when someone "watches out for you". I see it every day or night. When you are Pitting 2 patients and so is your co worker, what happens when you get an epidural? Or start pushing? There is NEVER someone just standing around with no patients waiting to take yours. THIS is why they are striking in California, well, one of the many reasons. But where there are unions, there are better staffing ratios. What we do can get dangerous very quickly, and that person on call can't help. If it hasn't happened to you yet, just wait. Something needs to be done, because as nurses all we hear is "stay within the budget", but let the hospital write just one check to the family who's baby dies, and how many extra staff members could they have paid for instead????

  • 2
    welnet66 and guitar1234 like this.

    Shadow first. I've said this in another post, and mean it. Before you spend thousands on a "certificate" that an attorney does not care about NOR require, just do it. I have 15 yrs in OB and was approached one day by one of our docs about reviewing a case with him, I sat down after work with him at a mexican restaurant, he paid, I ate, we discussed for 4 hours. It shocked me how much he learned FROM ME! Only nurses can really "get it" when it comes to the charting, staffing, procedures, and REALISTIC patient ratios. I recieved $5,000 2 months later and did not even expect it! That started my new part time gig. 3 yrs later, and referrals like crazy, I have my business cards from Vista prints basically for free, and have made over $75,000 without really trying. So it is a very lucrative career direction change, and I truly believe that we are a patients advocate TO THE END. Best of luck.

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    Okay, I guess I am just wondering why all the fuss about the whole "C" thing. I am a legal nurse consultant and have made approx $75,000 over the last 3 yrs doing this. I am not, nor will ever pay to receive a "certificate" etc. because lawyers frankly don't care (IMHO&E). I have 15 yrs of nursing in OB, thats more than enough, and frankly, may I be frank? The class does not give you more experience, THIS is what you need to be a successful consultant. If you dont have the expertise, and experience in the medical profession, you will sound like an idiot when an MD starts asking you questions, and you WILL be in depositions. The classes teach you "how" to act, but they don't give you the medical background. Most of the attorneys I've worked with (plaintiff or defending) won't consider an RN with less than 12 yrs experience, preferrably a specialty area. When I looked into a "very well known" program, I was disappointed at the lack of nursing years. Just my opinion.


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